MOOP
maximum out-of-pocket
MedicareMedicaidHealthcareHealth InsuranceFHIRFederal-GovernmentDrug SpendingProvider DataQuality MeasuresClaims Data
Properties
| Name | Type | Description |
|---|---|---|
| amount | number | |
| csr | object | |
| family_cost | string | |
| network_tier | object | |
| type | string | |
| individual | boolean | Applies to individuals |
| family | boolean | Applies to families |
| display_string | string | An optional human-readable description |
JSON Schema
{
"$schema": "http://json-schema.org/draft-07/schema#",
"title": "MOOP",
"description": "maximum out-of-pocket",
"properties": {
"amount": {
"type": "number"
},
"csr": {
"$ref": "#/definitions/CostSharingReductionEnum"
},
"family_cost": {
"type": "string",
"enum": [
"Individual",
"Family",
"Family Per Person"
]
},
"network_tier": {
"$ref": "#/definitions/NetworkTierEnum"
},
"type": {
"enum": [
"Maximum Out of Pocket for Medical and Drug EHB Benefits (Total)",
"Maximum Out of Pocket for Medical EHB Benefits",
"Maximum Out of Pocket for Drug EHB Benefits"
],
"type": "string"
},
"individual": {
"description": "Applies to individuals",
"type": "boolean"
},
"family": {
"description": "Applies to families",
"type": "boolean"
},
"display_string": {
"type": "string",
"description": "An optional human-readable description"
}
},
"type": "object"
}
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